Review USING OF TRANSSULCAL MICROSURGICAL APPROACH IN SURGICAL TREATMENT OF INTRACEREBRAL LESIONS - LITERATURE REVIEW St. Valkanov

The surgical resection of intracerebral lesions, and particularly those in the dominant hemisphere, is often a challenge. Standard approaches require significant brain retraction or resection of normal neural tissue. However, the type of surgical approach affects on the postoperative recovery and complications. The introduction of the microsurgery and computer-led stereotactic laser resection, neuronavigation, brain mapping – all these methods which allows a complete resection and sparing of the surrounding normal neural tissue, improves the results and the pursuit of atraumatic neurosurgical operations. Our goal was to make a literature review on application of trans-sulcal microsurgical approach by other authors, since its introduction in the microneurosurgery practice by Prof. G.Yasargil in 1986. It is a minimally invasive technique that is relatively simple and provides additional accuracy and safety of the surgical procedure. It ensures less traumatic surgical interventions and preserves as much as possible the physiological and anatomical structures of the cerebrum.